Organization Active NPI

Spark Psychological Services LLC

Doing business as Spark Psychological Services

  • Psychologist
  • Durango, CO
National Provider Identifier
1023810074
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
SPARK PSYCHOLOGICAL SERVICES LLC
Doing business as
Spark Psychological Services
Practice address
363 Valle Escondido Dr
Durango, CO 81303-7960
Phone
(970) 905-5071
NPI assigned
Mar 27, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jennifer Rhoda Lucchesi, PSY.D.. L.P.NPI 1891972170
Title
Psychologist/Owner
Phone
(970) 903-5071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

363 Valle Escondido Dr
Durango, CO 81303-7960

Mailing address

363 Valle Escondido Dr
Durango, CO 81303-7960
Phone (970) 903-5071

Other practice location 1

2855 Main Ave Ste A103
Durango, CO 81301-5959
Phone (970) 903-5071

Other names 1

  • Spark Psychological Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250502000031 CO Part B Supplier - Clinic/Group Practice 5698291615 Receives reassigned benefits from 1 practitioner
Practice locations: Durango, CO

National Provider Directory

National Provider Directory

Locations

2855 Main Ave
Ste A103
Durango, CO 81301
Phone (970) 382-8790

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1023810074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "363 VALLE ESCONDIDO DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813037960",
            "telephone_number": "970-903-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 VALLE ESCONDIDO DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813037960",
            "telephone_number": "970-905-5071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2855 Main Ave Ste A103",
            "address_purpose": "LOCATION",
            "city": "Durango",
            "state": "CO",
            "postal_code": "813015959",
            "country_code": "US",
            "telephone_number": "970-903-5071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPARK PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "LUCCHESI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "RHODA",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "970-903-5071",
        "authorized_official_credential": "PSY.D.. L.P."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spark Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spark Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.